EL-16-895 Inspection Worksheet
Miami Shores Village
v
9
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-258379 Permit Number: EL-4-16-895
Scheduled Inspection Date: May 09,2016 Permit Type: Electrical- Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: LOPEZ,MICHELLE Work Classification: Repair
Job Address:41 NE 106 Street
Miami Shores, FL 33138-2034 Phone Number
(352)870-9947
Parcel Number 1121360060280
Project: <NONE>
Contractor: ATLANTIS ELECTRICAL CORP Phone: (305)551-4043
Building Department Comments
INSTALL NEW SMOKE DETECTORS AND SERVICE Infractio Passed Comments
REPAIR INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
May 06,2016 For Inspections please call: (305)7624949 Page 39 of 45
Miami Shores Village
10050 N.E.2nd Avenue NE
•'� Miami Shores,FL 33138-0000 u
` Phone: (305)795-2204
Expiration: 10/01/2016
Project Address Parcel Number Applicant
41 NE 106 Street 1121360060280
MICHELLE LOPEZ
Miami Shores, FL 33138-2034 Block: Lot:
Owner Information Address Phone Cell
MICHELLE LOPEZ 41 NE 106 Street (352)870-9947
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,840.00
ATLANTIS ELECTRICAL CORP (305)551-4043 Total Sq Feet: 0
Type of Work:INSTALL NEW SMOKE DETECTORS AND SER Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Review Electrical
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80 Invoice# EL-4-16-59270
DBPR Fee $2.25 04/04./2016 Check#:337 $162.30 $0.00
DCA Fee $2.25
Education Surcharge $0.60
Permit Fee-AdditionstAlterations $150.00
Scanning Fee $3.00
Technology Fee $2.40
Total: $162.30
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS pelt ,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that II the foregoing informatio is accurst at all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhe or authorize the abov m contract r to do the work stated.
April 04, 2016
Authorized Signature:16 er / Applicant / Ccrector / Agent Date
Building Department Copy
April 04,2016 1
r
Miami Shores
Village
Building Department
APR l
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 �s
INSPECTION UNE PHONE NUMBER:(305)762-4949
FBC 2014,
BUILDING Master Permit No. t--1 co -- 5
PERMIT APPLICATION Sub Permit No.
❑BUILDING g.E'LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: N SCD si
City: Miami Shores County: Miami Dade Zip: 1 ��
Folio/Parcel#: LIP - 0 V(10 DZi?O Is the Building Historically Designated:Yes NO
Occupancy Type: Load: ppConstruction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): mi cyNo'C, Phone#: ?61 ?310 901 y7
Address: S1-71 SW t'-1rCkne.4'L " • tl
City: C-;�i o CSV%k 1e State: „• Zip: 2(,Fp$
Tenant/Lessee Name: Phone#:
Email:. 0-1 ecAni% 12 vy&NYN `• Cory,
CONTRACTOR:Company Name: Atcos1_s iECCj-N'C_cl Care Phone#: �"�_ 3iS---67 70
Address: I J S L3 1.0
City: l-Q.t�r`-Lk State: C"t..,. Zip: 11
Qualifier Name: C.�_Sc-4-11) P, Phone#: ��( � —� i9a
State Certification or Registration#: CS 14 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$�O w A Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New 20'Repair/Replace ❑ Demolition
Description of Work:
S9,.•,i Cry 6-4-J2 c ,�-- a
Specif y color of c ort ru tile: `.
Submittal Fee$ _Permit Fee$ ��®•�� CCF$ . 'A $ ,
nn e: r
Scanning Fee$ v Radon Fee$ oc' a� _ DBPR$ a"a�. Notary$
Technology Fee$ cow' "i Training/Education Fee$ 13 - `� Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ '
1 (Revised02/24/2014)
1
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs=days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved ann fee will be charged.
Signature ~' Signature
WNER or ANT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
22 ha day of NA„(Q'N .20 ! ,by �� day of 20 16 .by
)L-)5tkJe N 5V&11(tw+cLn ,who is personally known to TjCaru Sw a ire 2 ,who is personally known to
me or who has produced 'D L as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUB NOTARY PUBLIC:
J
Sign: Sign: Z Z�:::1i
Print: Print: . . LUIS FERNANDEZ
MY 38180
Seal: LEONARDORAAUREZ Seal: * EXPIREMINvember ,2016
Notary Pum-State o1 Fla --N.01141*
- 1141 B=W Thm November SrAm
7
(ale.
MY Comm.ENO"M V 17.2018 �0FFLo �Conuaisalan 0 FF 102787
########
APPROVED BY l AC Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014) '
Miami-Dade Official Records-Print Document Page 1 of 2
CFN:20160095762 BOOK 29964 PAGE 85
DATE:02/17/2016 08:31:05 AM
Return tX DEED DOC 0.60
Global America Title Services,LLC HARVEY RUVIN.CLERK OF COURT,MIA-DADE CTY
Law Offices of Rosenfield&Zalkind,PL
2323 Hollywood Boulevard
Hollywood FL 33020
This irit+a ent prepared by:
Christopher P.Kelley,Esq.
11098 Biscayne Boulevard,Suite 205
Miami,FL 33161
Eft No.11-213"064=
UM* Ate`
TMS 1NDErV'Tl~M, Made this S4. day of _AaA.ye e:n i , 2016 Between
DORM GRIEFS VAN PU TEN,a single woman,as GRANTOR,and W[''61'F.LLE LOPEZ,
a single woman, whose post office address is 41 NE 106 Street. K=3i Shores, FL 33138, as
GRANTEE,
WITNESSETH, That said GRANTOR, for and in consideration of the sum of Ten and
00/100 Dollars,and other good and valuable considerations to said GRANTOR m hand paid by said
GRANTTE,the receipt whereof is hereby acknowledged,have greeted,bargained and sold to the
said GRANTEE,and GRANTEE's heirs and assigns fozever,the following described land,situate,
lying and being in Maori-Dade County,Florida to-wit:
.Lot 12,Block 247, of DUNNING'S MAW SHORES EXTEIV,SIOAr NO. 2, according to the
Plat thereof, as recorded in Plat Book 41,.Page 78, of the Public Records ofA iand:Dade
County,Florida
commonly known as 41 D%106 Street Miami Shores.n 331338
SUBJECT TO: Applicable zoning and/or restrictions and prohibitions imposed by
governmental authority; Conditions. Restrictions limitations, reservations, easements, and other
matters appearing on records, if any; _Utility easements of record, taxes for the year 2016 and
subsequenty
https://www2.miami-dadeclerk.com/public-records/PrintDocument.aspx?QS=MwKnucJT67... 4/1/2016
Miami-Dade Official Records-Print Document Page 2 of 2
CFN:20160095762 BOOK 29964 PAGE 86
Wamnty Deed
des) State sit Lopez
Page 2 of 2
and said.GRANTOR does hereby fully warrant the title to said laud, and will defend she same
against the lawful elain is of all persons whomsoever.
IN WITNESS WMEOF,GRANTORS,have hereunto set GRANTOR'S band and seal the
day and year fist above written.
Sigued,sealed,and delivered in our presence:
i .1
rtness Na" PVTTEN
t� rimae s:114"106&rt
Print Maxi Shores,FL 33138
r
wm�
Print
STATE OF FLORIDA )
COUNTY OF MIAMI DADS )
I N EREBY CERTIFY that on this day,before me,an offices duly authorized in the State
aforesaid and in the Cou my aforesaid to take acknowledgments, personally appeared DORIM
GRIEFS VAN P€JTTEN,a single woman,who producedfYoraAt Ari hr's tWaacAd +Htva-,s
as idenA dmd and who executed.the
on, foregoing insbiinnenct and acknowledged be,£ore me that
executed the same.
Witness my band and official seal in the Co and State last aformaid this S day of
2016.
NOTARY PUBLIC,State of FLORIDA at Targe
My Commission Expires:
"fie gots x
https://www2.miami-dadeclerk.com/public-records/PrintDocument.aspx?QS=MwKnucJT67... 4/1/2016
Laundry
Dining
Room#2
Kitchen
Bathroom o
SD
yj
S8 4 SD Bathroom
SD
Living
o
SD
Gage Master Bedroom
Room#3
41 NE IQ6 '.: : : : :
• • • • • ••• • +'gggj g60 � � Miami Shores Village
33138
�1 195 APPROVED BY DATE
170, 11,1ING DEPT
REC
1AN(T W111 Al L FFPFPAL 1
R O 1 2 �:• :� : : : •:• : ,� , <<
BY•AP ..• . ... . •